<%@ include file="taglib_includes.jsp" %>

<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title><spring:message code="App.Title"></spring:message> </title>
<script type="text/javascript" src="js/contacts.js"></script>
</head>
<body style="font-family: Arial; font-size:smaller;">
	<center>
	<form action="userRegForm.do" method="post" commandName="NewUser">		
			
	<table style="border-collapse: collapse;" border="0" bordercolor="#006699" width="500">
		<tr>
			<td>First Name :</td>
			<td><input type="text" name="fname" /></td>
		</tr>
		<tr>
			<td>Last Name :</td>
			<td><input type="text" name="lname" /></td>
		</tr>
		<tr>
			<td>Email :</td>
			<td><input type="text" name="email" /></td>
		</tr>
		<tr>
			<td>Password :</td>
			<td><input type ="password" name="password"/></td>
		</tr>
		<tr>
			<td>Contact No :</td>
			<td><input type="text" name="contactno" /></td>
		</tr>
		
		<tr>
			<td>Gender :</td>
			<td><input type="radio" name="gender" value="M"/> Male
				<input type="radio" name="gender" value="F"/> Female </td>
		</tr>
		<tr>
			<td>Dob :</td>
			<td><input type ="text" name="dob"/></td>
		</tr>
		<tr>
			<td>Blood group :</td>
			<td><select name="bgroup">
				<option value="select"> Select </option>
				<option value="Apos" >A +ve </option>
				<option value="Aneg" >A -ve </option>
				<option value="Bpos" >B +ve </option>
				<option value="Bneg" >B -ve </option>
				<option value="ABpos" >AB +ve </option>
				<option value="ABneg" >AB -ve </option>
				<option value="Opos" >O +ve </option>
				<option value="Oneg" >O -ve </option>
				
			</select></td>
		</tr>
		<tr>
			<td>Address:</td>
			<td><textarea name="address" ></textarea></td>
		</tr>
		<tr>
			<td><input type="checkbox" name="termsNconditions" /> Terms &amp; conditions 
			 </td>
		</tr>
		
		<tr>
			<td colspan="2"><input type="submit" value="Register"></td>
		</tr>
	</table>
	
	</center>
		
</body>
</html>